DEPARTMENT OF PLANNING & BUILDING
123 ROGER SMITH AVE., CORTEZ, CO 81321
PH. 970-565-3402 FAX 970-565-8172
24 HR. INSPECTION LINE: 564-4071
Application/Permit Number:
City of Cortez
BUILDING PERMIT APPLICATION
Date Application Received:
Received By:
(Do Not Write Above This Line; Office Use Only)
Note:
All applications must be accompanied by 2 sets of construction documents. Commercial projects require 3 sets.
All submittals except for re-roofs, repairs, siding or remodels must include a site plan.
Owner’s Name:
Phone:
Owner’s Mailing Address:
Contractor’s Name:
Phone:
Project Address or Lot & Block Number:
Class of Work: (circle one)
Manufactured Home
New Residential
New Commercial
Commercial Remodel
Commercial Addition
Fence
Re-roof
Deck
Residential Remodel
Residential Addition
Change of Occupancy
Accessory Structure
Other
Total Sq. Ft.
Declared Construction Valuation: $
(For other than new construction)
I hereby certify that I am the owner or the owner’s duly authorized agent and that I have read this
application, and that all information is correct. I also understand that if plumbing work is to be performed
that I am required by CRS 12-58-113 to employ the services of a licensed plumber if the property or residence
is intended for resale, rental or is a commercial structure.
Signature:
Please print name:
Document1 /updated 4-17-17
Date:
The City of Cortez requires that applications for additions to homes, patio covers, walls, fences and other
changes to residential or commercial property include a site plan for review and approval to ensure that setback
requirements are met and that easements are kept free & clear of encroachments. The site plan does not always
have to be drawn by a surveyor or an engineer, however, it must be drawn “to scale”.
How to Draw a Site Plan
The site plan should indicate all of the following:
a. Boundary lines of the lot with distances & bearings.
b. Location & names of all abutting streets or other street rights-of-way.
c. North arrow & scale
d. The approximate outline of all buildings, driveways, parking areas, swimming pools, recreational courts,
patios, accessory structures and other improvements existing or proposed on the property, and
dimensions of buildings and distances between all structures and the nearest property lines
This illustration is provided as an example. Additional information may be required.
Show dimensions in feet between property lines and all structures.
Document1 /updated 4-17-17